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Last Published March 01, 2024 09:16 PM May 13, 2024 07:53 PM
Primary Outcomes (End Points) Children’s (6-12 months at baseline) hemoglobin levels (anemia and nutrition) Parental (mother or caregiver) mental health (Depression, Anxiety) Children’s (0-12 months at baseline) preschool enrollment at ages 3 to 5 Children’s hemoglobin levels (anemia and nutrition) Children’s compliance to medical check ups (both cohorts): Vaccination adherence, Medical appointment adherence. Parental (mother or caregiver) mental health: Depression, Anxiety Children’s (0-12 months at baseline) preschool enrollment at ages 3 to 5
Primary Outcomes (Explanation) These are outcomes of policy relevance.
Experimental Design (Public) The study is a two-arm cross-randomized control trial. It will involve four groups: the first treatment group will receive an active intervention focused on children's health and parenting modules twice a week (Group A). The second treatment group will receive modules on improving parental mental health practices once a week (Group B). A third group (Group AB) will receive both sets of modules, totaling three sessions per week. The control group will receive standard government-approved documents on nutrition and health practices once a week, along with healthy recipes (Business as Usual). Surveys will be conducted at three points: baseline (week 1), midpoint (week 7), and endline (week 12) for all intervention groups. The study is a 2x2 randomized control trial. All arms, including the control group, will receive standard government-approved documents on nutrition and health practices once a week, along with healthy recipes (Business as Usual). Treatment Group A (Nutrition) will receive a narrative and gamified chatbot focused on healthy nutrition practices recommended by the Peruvian Ministry of Health. This will come in the form of WhatsApp messages once a week for 12 weeks. Treatment Group B (Psychosocial) will receive psychologically wise interventions centered in problem solving and affirmation as well as cognitive behavioral therapy-based modules once a week. Treatment Group AB will receive both sets of modules, totaling three sessions per week. Surveys will be conducted at three points: baseline (week 1), midpoint (week 7), and endline (week 12) for all intervention groups.
Planned Number of Observations 17,500 mothers or primary caregivers Approximately 15,000 - 40,000 mothers or primary caregivers
Sample size (or number of clusters) by treatment arms N/A Approximately 3,000 - 10,000 mothers or primary caregivers
Secondary Outcomes (End Points) Self-reported parental nutrition and health behaviors toward children (breastfeeding, nutrition, handwashing, iron supplementation; both cohorts) Children’s compliance to medical check ups (both cohorts) Vaccination adherence Medical appointment adherence Parental (mother or caregiver) knowledge about infants’ health and nutrition Parental emotional well-being (self-efficacy) Social norm perceptions and attitudes (problem-solving mindset) Children’s anemia status Self-reported parental nutrition and health behaviors toward children (breastfeeding, nutrition, handwashing, iron supplementation; both cohorts) Parental (mother or caregiver) knowledge about infants’ health and nutrition Parental emotional well-being (self-efficacy) Social norm perceptions and attitudes (problem-solving mindset)
Secondary Outcomes (Explanation) Outcome (I) is an objective outcome of interest but is less likely to be malleable. Outcomes (ii) - (v) are mechanism variables.
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